HomeMy WebLinkAboutPermit Mechanical 2005-06-16CITY F
Buildin g/Co mbinatio n Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541:7 26-37 69 I nspection Line
PERMIT NO: COM2005-00707ISSUED: 0611612005APPLIED: 06/1012005E)PIRES: 1211612005
VALUE:
SITE ADDRESS: 2229 32ND ST
ASSESSORS PARCEL NO.: 1702302r01s00
PROJECT DESCRIPTION: Replace heat pump
Springfield TYPE OF
TYPEOF USE:
Heating System
Repair E
Owner:
Address:
Contractor TVpe
Mechanical
Contractor
COMFORT FLOW
Expiration Date
06t27t2007
Residential
Phone
s41-726-0100
K
T
WAI\DA SEAVER
2229 32NDST
SPRINGFIELD OR 97477
Phone Number: 541-726-9513
License
460
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
R-3
Frontyard Setbaclc
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
callinq the
Overlay Dirhumbe", to,
# Street Trees r--,-,
Paved Drive Rqd: .,c' I
Yo ofLot Coverage:
0t roug
Sidewalk Type:
DownspoutVDrains
\.N
# of Stories:
Height of
Type of Heat:
Water Type:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
NTION: Oregon
rules ado
on ce
$ Per Sq Ft
or muhip[er
Square Footage
orBH Amount
PUBLIC IMPROVEMENTS
Description Type of Construction
lof2
Value
u(rN r r(AL r t,I( x\.r !:srvrA rrl!:|_l
lru IIJLIII\ U rNI! UI{lvl3!!]!!!J
Range
Energy
Sprinkled by
copies of PARIflNG
Valuation Descrintion r
Date Calculated
SPRINGFIELD
Building/Co mbination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-7263676Fax
541.:7 26-37 69 I nspe ction Line
PERMIT NO: COM2005-00707ISSUED: 0611612005APPLIED: 06/1012005E)PIRESt 1211612005
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0o Administrative Fee
+ 7o/o Stzte Surcharge
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount
Amount Paid
Total Value of Project
Date Paid
6n6t0s
6n6t05
6t16t05
6n6t05
6fi6t05
Receipt Number
1200500000000000847
1200500000000000847
1200500000000000847
1200500000000000847
1200500000000000847
$10.00
$4.s0
$3.1s
$12.00
$33.00
$62.65
Plan Reviews
To Request an inspection call the 24 hour recording at 726-3769. AII inspection requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certiff that any and all work performed shall be done in rccordance
with the Ordinances of the City of SpringfieH and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPAIICY will be made of any structure without permission of the Community Services Division,
Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used
on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from
the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site
at all times during
Owner or Contractors Signature
2of2
Date
6-le-c\s
rees raro I
Keourred lnsDecnons I
sssffi*F*4SF*ffi**$3
-375
CityJob Number -0070 7
LOCATION OT PROPOSED WORIC J"leq N, 33 t4 si
26-
ASSESORS MAP: TAX LOT:
**
@*
trt
1,1,,T{
w
\#
Fqr
$d
OWNER Lr)a Sr-v er PHONE:^ 75r
nli
ADDRESS: .90J"q
CITY:
DESCRIMON OF WORK:
NEW: REMODEL:
SrArE: OA ZIP..
ADDITON:DEMOLISH:OTHER VALUE:
/
ADDRXSS
CONST.
CONTRACTOR #EXPIRES"PHONECONTRACTOR'S NAME
I
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
F\sur Iq 5l Dcr-\ St t quo ?0to-0 \0C\#
{#
aF*
F't*
F+tr4
k'
6t
fii ,,
,, t+
MECHAMCAT PERAAIT
ITEM
Furnace
Exhaust Hood
Vent Fan No.
Wood Stove/lnsert/Fireplace Unit
PLUMBING PERMIT
FEE mElvl
Fixtures
Residenlial Bath(s)
Sanitary Sewer
Water
Storm Sewer
rEE
No.
FT
FI.
FT.
Mechanical Permit Subtotal
**Minimum of $45.O0
State Surcharge 7%
Administrative Fee 1 07o
Issuance Fee
TOTAT MECHANICAT ba.lqI
Plumbing Permit Subtotal
**Minimum of $45.00
State Surcharge 7%
Administrative Fee 10%
TOTAL PLUMBING
0,,.
t +
Shared Drive(T:/Building Forms/Permit Wo*sheet 3-04.doc
a
't:
r
225 Fifth Street
Springfietd, Ore gon 97 477
541-726-3759 Phone
tity of Springfield Official Receipt
evelopm ent Services Department
Public Works Deparbn ent
RECEIPT#: 1200500000000000847 Date: 0611612005 11:58:02AM
Job/Journal Number
coM2005-00707
coM2005-00707
coM2005-00707
coM2005-00707
coM2005-00707
Description
+ 7Yo State Surcharge
+ l0% Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3. l5
4.50
12.00
33.00
10.00
Item Total:$62.65
Payments:
Tlpe of Payment
unecKNumDer Aumorlzauon
Paid By Rceived By Batch Number Number How Received Amount Paid
Check COMFORTFLOW HEATING
co.
ddk 30152 In Person
Payment Total:
$62.65
$62.65
6/16/2005 lofl
smar3r